J Med Assoc Thai 2019; 102 (8):38

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The Effects of Individualized Nutritional Management to Slow the Progression of Stage 3 to 4 Chronic Kidney Disease in Primary Care Units of Northeast Thailand
Kankarn W Mail, Wichitthongchai C , Sancharon P , Anutrakulchai S

Objective: The aim of the present study was to investigate the effect individualized nutritional management can improve nutritional behaviors and slow the progression of stage 3 to 4 chronic kidney disease.
Materials and Methods: This 12-months experimental research was conducted at the primary care units in the Northeast, Thailand from June 2017 to May 2018 study period. The sample consisted of 200 stages 3 to 4 CKD patients. They were recruited and randomly assigned to either the intervention group or the control group. The intervention group received individualized nutritional management and the control group received standard care. The data were analysed using descriptive statistics and independent ttest.
Results: A total of 172 stage 3 to 4 CKD patients were included in the study. Their average age was 69.70 years. The nutritional behavior and absolute eGFR at the end of the study was significantly higher in the intervention group than in the control group (46.93 versus 43.25 ml/min/1.73 m2; p<0.05). The average blood pressure and HbA1C in the intervention group less than the control group with statistical significance at p<0.05. However, body mass index and waist circumference were not significantly different between the two group.
Conclusion: Individualized nutritional management can delay CKD progression.

Keywords: Nutritional management, Chronic kidney disease, Primary care


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